Rhinoplasty is the operation designed to improve the appearance of the nose. This procedure involves the meticulous removal and/or reshaping of the nasal bones and cartilage.


Most rhinoplasty surgeries are performed to improve appearance. Facial harmony may be disturbed when a nose is out of proportion with other facial features (because it is too wide, too long, too large, is crooked, is deformed secondary to traumatic injury, has a hump or drooping tip, etc.). Improvement of nasal deformities can often improve a person’s self-image which may improve that person’s self confidence and self-esteem.

Deformities of the inside of the nose that may impair breathing can sometimes be improved by an internal nasal procedure called septoplasty. However, internal changes are sometimes achieved while simultaneously straightening the external nose.

A rhinoplasty can often improve your overall appearance as well as function. Some of the cosmetic improvements often sought include decreasing or increasing the nose size, changing the shape or position of the tip of the nose, narrowing the nostrils, or straightening the nose.

Ideal Rhinoplasty Candidate

Many people wonder if there is an ideal age to perform cosmetic surgery of the nose. In most cases, girls are mature enough at fifteen and boys at eighteen. Maturity is variable; therefore, the timing of rhinoplasty depends on each individual’s growth, maturation and specific problem. It is essential that a parent accompany a young adult for his/her consultation visit.

On the other hand, if you are in good health, it is never too late for nasal surgery. In fact, often the surgery is done around the time of a facelift. Sometimes a nose becomes progressively disfigured with age. A long nose with a drooping tip may be a sign of aging and a nose lift can provide a more youthful appearance.

Rhinoplasty Surgery at The Langsdon Clinic

People in the Memphis, Tennessee area that are unhappy with the appearance of their nose should consult with an experienced cosmetic surgeon like Dr. Langsdon for a rhinoplasty consultation. Dr. Langsdon has specialized in facial plastic surgery for over 25 years and there is no one more experienced in the local area.

Usually the procedure is performed in the clinic’s outpatient surgical facility. Preoperatively, medications are given to begin relaxation, promote healing, and help minimize swelling and bruising. Generally, twilight sedation is used and is supplemented by local anesthesia. Most patients report the procedure is painless and that they have very little memory of the experience.

Surgery takes about one to two hours in uncomplicated cases. Most incisions are made entirely inside the nose. The injured, twisted, or difficult nose may require a small incision below the tip of the nose between the nostrils. Wide, flaring nostrils may necessitate an incision in the crease where the side of the nostril joins the upper lip and cheek. These incisions usually become inconspicuous with time.

Common Rhinoplasty Questions

Many people ask if the nasal bones are broken during the surgery. Our surgical technique eliminates most of the side effects of older approaches that usually resulted in extreme swelling and bruising.

With our technique, an incision is made into the nasal bones when repositioning is required. With this technique there is usually less postoperative discomfort, discoloration, and swelling when compared with older techniques.

Langsdon - Rhinoplasty .v2View this infographic on common facts and info on Rhinoplasty.

Rhinoplasty Recovery

After surgery, a small protective splint is usually placed on the nose that is worn for one week. We do not ordinarily pack the nose. We find less discomfort, swelling, and discoloration by avoiding packing, thus making your postoperative course much more comfortable and pleasant.

We are usually able to eliminate packing by using a special absorbable suturing technique to reposition the internal nasal tissues. This technique is a great advance in nasal surgery because it reduces much of the undesirable postoperative discomfort and swelling. The initial swelling usually resolves in seven to ten days. Keep in mind that every patient is different.

Your Rhinoplasty Results!

When the nasal splint is first removed, the nose may appear turned up because of the effects of the splint and swelling of the tissues. Shortly after the splint is removed, the average person usually cannot tell that you have had nasal surgery. Most of the swelling subsides by one to two weeks, but it may take a year (occasionally longer) for the final 1 to 2 percent to dissipate.

This usually does not bother the patient or distract from the appearance; the nose gains definition over time as the last bit of swelling subsides. Patients with thick skin or who have had previous nasal surgery or trauma, may take longer for the swelling to totally diminish. The tissues inside your nose may also be swollen after surgery. This causes some nasal stuffiness, but the stuffiness improves as the swelling decreases.

After one week, you may be able to return to light work or school and usually do not look as if you have just had surgery. Postoperative instructions are provided for you at your preoperative appointment. If you are from out-of-town, you should plan to stay nearby for at least two days postoperatively.